arXiv AI

PGP-Clinical-TimeKAN: Prior-Guided Joint Probabilistic Forecasting of Clinical Trajectories

PGP-Clinical-TimeKAN is a trajectory-first framework for joint probabilistic forecasting of multivariate physiological data, combining missingness-aware temporal encoders, a soft organ-system prior, patient-specific relations, nonlinear Kolmogorov‑Arnold messages, and a low‑rank multivariate Student‑t head. Evaluated on a MIMIC‑IV cohort of 6,882 patients, it achieves the second‑lowest normalized MAE and the lowest RMSE among 13 models, while providing calibrated probabilistic forecasts with empirical coverage at 50%, 80%, and 95% intervals. Ablation studies show that relational structure is critical for performance, and increasing covariance rank improves likelihood but not point accuracy. whyItMatters":"The model demonstrates that joint trajectory forecasting can yield highly accurate, calibrated predictions of physiological trajectories, offering a potentially inspectable intermediate task for clinical deterioration prediction."

arXiv Machine Learning
Jul 21

Differentiable latent structure discovery for interpretable forecasting in clinical time series

arXiv:2604. 27967v2 Announce Type: replace Abstract: Background: We introduce StructGP, a continuous-time multi-task Gaussian process that couples process convolutions with differentiable structure learning to uncover a sparse, ordered directed acyclic graph (DAG) of inter-variable dependencies while preserving principled uncertainty.

By Ivan Lerner, Jean Feydy, Alexandre Kalimouttou, Anita Burgun, Francis Bach
arXiv Machine Learning
Oct 15

Graph-Enhanced Disease Trajectory Discovery and Temporal Endpoint Forecasting from Longitudinal Electronic Health Records

The study introduces a graph‑enhanced framework for discovering disease trajectories and forecasting temporal endpoints using longitudinal EHR data from MIMIC‑IV v3.1. It constructs patient‑specific motifs from consecutive admissions, applies a time‑aware Transformer to select up to 24 motifs per endpoint, and reports modest improvements in micro‑AUPRC and event‑time MAE, with larger gains for events occurring after 730 days. The authors also explore branching‑motif conditioning and GNN‑based edge repair, finding that motifs mainly provide long‑range timing support rather than superior endpoint discrimination or survival prediction.

By Jin-Jia Zheng, Vincent S. Tseng
Hugging Face Trending Papers
Aug 13

Intervention-Aware Clinical World Model for Post-Op Outcome Forecasting in Cardiology

Many clinical prediction models treat post-intervention outcomes as a one-step mapping from baseline measurements to a future endpoint. However, recovery after a procedure often unfolds as an irregular trajectory: clinical observations, medication changes, repeat interventions, and physiological measurements are recorded asynchronously and can change risk assessment over time.

arXiv Machine Learning
Jul 17

TEDDY: A Pediatric Foundation Model for Risk Forewarning from ICD-Coded Diagnostic Histories

arXiv:2607. 14191v1 Announce Type: new Abstract: Pediatric electronic health records capture developmentally structured clinical trajectories, yet their potential for generative healthcare foundation models remains largely unexplored.

By Matthew Brady Neeley, Jorge Botas, Johnathan Jia, Lin Yao, Daniel Palacios, Benjamin Choi, Zhandong Liu, Hyun-Hwan Jeong
arXiv AI
Sep 30

Calibration-First Cross-Cohort Multimodal Temporal Learning for Transferable Asthma-Risk Forecasting

The paper introduces CALIBRA, a calibration-first multimodal temporal learning framework designed for transferable asthma‑risk forecasting across varying patient cohorts and sensor ecosystems. It processes multiple data streams—environmental, pulmonary, symptom, medication, wearable, and context—using dedicated recurrent encoders, a reliability‑conditioned gate, and gradient‑reversal training to mitigate cohort bias. CALIBRA employs a shrinkage‑based hierarchical logistic layer for probability calibration and split conformal prediction for abstention‑capable prediction sets, achieving competitive performance on a semi‑synthetic three‑cohort benchmark with controlled distribution shift.

By Taimoor Ahmad
arXiv AI
Aug 7

Trajectory-guided discharge stratification for heart failure using short-context electronic health record sequence modeling

arXiv:2511. 16839v4 Announce Type: replace-cross Abstract: Purpose: Heart failure (HF) discharge planning depends on identifying patients at risk of deterioration or death, yet accurate prediction from routinely collected electronic health records (EHRs) remains challenging.

By Falk Dippel, Yinan Yu, Annika Rosengren, Martin Lindgren, Christina E. Lundberg, Erik Aerts, Martin Adiels, Helen Sj\"oland
arXiv Machine Learning
Aug 19

Mr.Dec: Daily-Scale Longitudinal Multimodal Modeling for 30-Day Readmission Prediction

Mr.Dec is a new Transformer‑decoder model that predicts 30‑day hospital readmission by treating each admission as a chronological sequence of daily multimodal events, integrating Electronic Health Record updates and Chest X‑ray findings. It uses disease‑specific supervised contrastive learning to shape a diagnosis‑aware latent space and preserves day‑level clinical signals that other methods often compress. Experiments on MIMIC‑IV and MIMIC‑CXR datasets show state‑of‑the‑art performance and the model can highlight "Critical Days" for actionable real‑time risk stratification.

By Minjun Kim, Jong Hak Moon
arXiv AI
Aug 24

Curriculum-Aware Interpolate-then-Refine: Learned Physiological Time-Series Imputation under Realistic Missingness

The paper introduces Curriculum‑Aware Interpolate‑then‑Refine (CAIR), a two‑stage framework for imputing physiological time‑series data. CAIR first learns a coarse base curve with a bidirectional‑GRU interpolator and then refines it through three Transformer passes, trained under a random‑gap curriculum that mimics realistic missingness. Evaluations on continuous glucose monitoring and arterial pressure datasets show CAIR outperforms all baselines across MCAR, MAR, and NMAR mechanisms, especially for long gaps and value‑dependent dropout, while also preserving clinically relevant burden metrics.

By Yu-Chao Huang, Haochen Zhang, Nicholas Konz, Tianlong Chen